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假性淋巴瘤性毛囊炎的皮肤镜表现

Dermoscopy findings of pseudolymphomatous folliculitis.

作者信息

Fujimura Taku, Hidaka Takanori, Hashimoto Akira, Aiba Setsuya

机构信息

Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan.

出版信息

Case Rep Dermatol. 2012 May;4(2):154-7. doi: 10.1159/000341194. Epub 2012 Jul 12.

Abstract

Pseudolymphomatous folliculitis (PLF), which clinically mimicks cutaneous lymphoma, is a rare manifestation of cutaneous pseudolymphoma and cutaneous lymphoid hyperplasia. Here, we report on a 45-year-old Japanese woman with PLF. Dermoscopy findings revealed prominent arborizing vessels with small perifollicular and follicular yellowish spots and follicular red dots. A biopsy specimen also revealed dense lymphocytes, especially CD1a+ cells, infiltrated around the hair follicles. Without any additional treatment, the patient's nodule rapidly decreased. The presented case suggests that typical dermoscopy findings could be a possible supportive tool for the diagnosis of PLF.

摘要

假性淋巴瘤性毛囊炎(PLF)临床症状类似皮肤淋巴瘤,是皮肤假性淋巴瘤和皮肤淋巴样增生的一种罕见表现。在此,我们报告一例患有PLF的45岁日本女性。皮肤镜检查结果显示有明显的树枝状血管,伴有毛囊周围和毛囊小的淡黄色斑点以及毛囊红点。活检标本还显示密集的淋巴细胞,尤其是CD1a+细胞,浸润于毛囊周围。未经任何额外治疗,患者的结节迅速缩小。该病例提示典型的皮肤镜检查结果可能是诊断PLF的一种辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/869c/3398085/94fa22800304/cde-0004-0154-g01.jpg

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